Provider Demographics
NPI:1922520659
Name:HEALING HANDS HEALTH CENTER INC
Entity Type:Organization
Organization Name:HEALING HANDS HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-450-7632
Mailing Address - Street 1:4036 RIVER OAKS DR UNIT B3
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-6695
Mailing Address - Country:US
Mailing Address - Phone:843-450-7632
Mailing Address - Fax:843-236-0204
Practice Address - Street 1:4036 RIVER OAKS DR UNIT B3
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-6695
Practice Address - Country:US
Practice Address - Phone:843-450-7632
Practice Address - Fax:843-236-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty